Ortiz, Mariely

Ortiz, Mariely was paid $11K by Medicaid between Jun 2019 and Dec 2021, across 11 billing codes. Its largest line is D1999, — 24% of everything it billed.

33Billing provider infoORTIZ, MARIELY
PATILLAS, PR 00723

33aNPI1760861769assigned 05/22/2015

33bProvider typeGeneral Practice Dentistry

28Total paid$11K

24GClaims1,038

24DCodes billed11

24AFirst – last monthJun 2019 – Dec 2021

Compared with peers

Next to other General Practice Dentistry providers in Puerto Rico

Rank by total paid#446 of 551

Median peer was paid$99K

This provider vs. median0.1×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Box 24A · Dates of service

Paid by month

Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider

By year, as a table

Year	Claims	Paid
2019	190	$76.56
2021	848	$11K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1999		24%	231	203	$3K
D1110	Prophylaxis - adult	24%	139	123	$3K
D0150	Comprehensive oral evaluation - new or established patient	14%	108	105	$1K
D0272	Bitewings - two radiographic images	9.8%	111	97	$1K
D0230	Intraoral - periapical each additional radiographic image	7.5%	170	111	$796.49
D0220	Intraoral - periapical first radiographic image	6.6%	148	129	$703.74
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	4.9%	42	30	$522.32
D1120	Dental cleaning, childProphylaxis - child	3.0%	17	16	$320.00
D1208	Topical application of fluoride, excluding varnish	2.9%	37	36	$310.60
D0140	Limited oral evaluation - problem focused	2.5%	15	13	$269.82
D7140	Extraction, erupted tooth or exposed root	<1%	20	13	$60.00

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.